Hydrocelectomy: a proxy for hydrocele prevalence in coastal Kenya.
Identifieur interne : 00A245 ( Main/Exploration ); précédent : 00A244; suivant : 00A246Hydrocelectomy: a proxy for hydrocele prevalence in coastal Kenya.
Auteurs : I K Mwobobia [Kenya] ; E M Muniu ; Y. Kombe ; C N WamaeSource :
- Annals of tropical medicine and parasitology [ 0003-4983 ] ; 2000.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Facteurs de l'âge, Filariose lymphatique (), Filariose lymphatique (épidémiologie), Humains, Hydrocèle (), Hydrocèle (épidémiologie), Hydrocèle (étiologie), Kenya (épidémiologie), Mâle, Procédures de chirurgie urologique masculine (), Prévalence, Sujet âgé, Études prospectives, Études rétrospectives.
- MESH :
- épidémiologie : Filariose lymphatique, Hydrocèle, Kenya.
- étiologie : Hydrocèle.
- Adolescent, Adulte, Adulte d'âge moyen, Facteurs de l'âge, Filariose lymphatique, Humains, Hydrocèle, Mâle, Procédures de chirurgie urologique masculine, Prévalence, Sujet âgé, Études prospectives, Études rétrospectives.
- Wicri :
- geographic : Kenya.
English descriptors
- KwdEn :
- Adolescent, Adult, Age Factors, Aged, Elephantiasis, Filarial (complications), Elephantiasis, Filarial (epidemiology), Elephantiasis, Filarial (surgery), Humans, Kenya (epidemiology), Male, Middle Aged, Prevalence, Prospective Studies, Retrospective Studies, Testicular Hydrocele (epidemiology), Testicular Hydrocele (etiology), Testicular Hydrocele (surgery), Urologic Surgical Procedures, Male (statistics & numerical data).
- MESH :
- geographic , epidemiology : Kenya.
- complications : Elephantiasis, Filarial.
- epidemiology : Elephantiasis, Filarial, Testicular Hydrocele.
- etiology : Testicular Hydrocele.
- statistics & numerical data : Urologic Surgical Procedures, Male.
- surgery : Elephantiasis, Filarial, Testicular Hydrocele.
- Adolescent, Adult, Age Factors, Aged, Humans, Male, Middle Aged, Prevalence, Prospective Studies, Retrospective Studies.
Abstract
To assess the value of hydrocelectomy as an indicator of the prevalence of lymphatic filariasis, the frequency of hydrocelectomy was investigated in five hospitals in an area of coastal Kenya where filariasis is endemic. Two of the hospitals studied (Kinango and Msambweni) were in Kwale district, two (Kilifi and Malindi) in Kilifi district and one (the Coast Provincial General Hospital) in Mombasa. Surgical operations performed between January 1991 and August 1993 were tallied from the main theatre registers. Additionally, admission files for hydrocelectomy patients were examined prospectively between September 1993 and February 1994, to obtain age profiles. Hydrocelectomies accounted for 27.6%, 16.6%, 13.6%, 4.3% and 2.0% of the major operations (totalling 6339) recorded in Kinango, Msambweni, Kilifi, Malindi and Coast Provincial General Hospital, respectively. The proportion of operations involving hydrolectomy was significantly higher in the two hospitals in Kwale district, in the southern part of the study area, than in the two hospitals in Kilifi district, in the northern part (23.4%, with 95% confidence intervals of 20.9%-25.9%, v. 10.3%, with 95% confidence intervals of 8.7%-11.9%; P < 0.001). The generally high frequencies of hydrocelectomy in the study area are evidence of the heavy social and economic burden imposed by hydrocele-attributable morbidity and its management. The age distribution pattern of the hydrocelectomy patients paralleled that of the individuals with hydrocele in the surrounding area.
PubMed: 10983560
Affiliations:
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Two of the hospitals studied (Kinango and Msambweni) were in Kwale district, two (Kilifi and Malindi) in Kilifi district and one (the Coast Provincial General Hospital) in Mombasa. Surgical operations performed between January 1991 and August 1993 were tallied from the main theatre registers. Additionally, admission files for hydrocelectomy patients were examined prospectively between September 1993 and February 1994, to obtain age profiles. Hydrocelectomies accounted for 27.6%, 16.6%, 13.6%, 4.3% and 2.0% of the major operations (totalling 6339) recorded in Kinango, Msambweni, Kilifi, Malindi and Coast Provincial General Hospital, respectively. The proportion of operations involving hydrolectomy was significantly higher in the two hospitals in Kwale district, in the southern part of the study area, than in the two hospitals in Kilifi district, in the northern part (23.4%, with 95% confidence intervals of 20.9%-25.9%, v. 10.3%, with 95% confidence intervals of 8.7%-11.9%; P < 0.001). The generally high frequencies of hydrocelectomy in the study area are evidence of the heavy social and economic burden imposed by hydrocele-attributable morbidity and its management. The age distribution pattern of the hydrocelectomy patients paralleled that of the individuals with hydrocele in the surrounding area.</div></front></TEI><affiliations><list><country><li>Kenya</li></country></list><tree><noCountry><name sortKey="Kombe, Y" sort="Kombe, Y" uniqKey="Kombe Y" first="Y" last="Kombe">Y. Kombe</name><name sortKey="Muniu, E M" sort="Muniu, E M" uniqKey="Muniu E" first="E M" last="Muniu">E M Muniu</name><name sortKey="Wamae, C N" sort="Wamae, C N" uniqKey="Wamae C" first="C N" last="Wamae">C N Wamae</name></noCountry><country name="Kenya"><noRegion><name sortKey="Mwobobia, I K" sort="Mwobobia, I K" uniqKey="Mwobobia I" first="I K" last="Mwobobia">I K Mwobobia</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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